| NPI | 1639606288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012957) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY 012957) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-07-21 |